Laparoscopic 'sleeve' caecectomy for idiopathic solitary caecal ulcer mimicking appendicitis. (4th August 2015)

• Record Type: Journal Article
• Authors: Sran, Harkiran; Sebastian, Joseph; Doughan, Samer
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-08-04
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2015-211058
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Idiopathic ulcer of the caecum is a rare condition of unknown aetiology. Its clinical presentation may mimic various pathologies, including appendicitis, inflammatory bowel disease and caecal malignancy. A definitive diagnosis is rarely established preoperatively, and is usually only confirmed histologically following surgical resection. We report a case of a young patient with caecal ulceration presenting with symptoms and signs of appendicitis, in whom laparoscopic anterior 'sleeve' caecectomy was performed to excise an inflammatory-looking mass involving the caecum. Histological examination demonstrated a deep mucosal ulcer and subsequent colonoscopy did not reveal any further pathology.